Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 6689965

The balloon proctogram.

D M Preston·J E Lennard-Jones·B M Thomas
View original source ↗Export metadata ↓

Abstract

A balloon filled with barium has been used to simulate a soft stool for the radiological study of disorders of defaecation. Lateral radiographs demonstrate the level of the pelvic floor in relation to the pubococcygeal line, the change in the anorectal angle and the behaviour of the anal sphincters. In 12 patients with faecal incontinence, successfully treated surgically by postanal sphincter repair, the anorectal angle was reduced from 135 degrees +/- 4.4 degrees (s.e.m.) to 103 degrees +/- 4.1 degrees and the anorectal junction rose by 1.5 +/- 0.4 cm. In 10 patients with slow-transit constipation there was no pelvic descent and no change in the anorectal angle on straining. These patients were unable to expel the balloon and the results suggest that the pelvic floor does not relax normally.

Explore related subjects

ConstipationDefecationFecal IncontinenceFemaleHumansMiddle AgedPerineumRadiographyRectal ProlapseRectumSyndromeJournal ArticleResearch Support, Non-U.S. Gov't

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

D M Preston, J E Lennard-Jones, B M Thomas. 1984. The balloon proctogram.. https://doi.org/10.1002/bjs.1800710109

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2026

Constipation and Psychiatric Disorders: A Bidirectional Mendelian Randomization Study.

BACKGROUND: Observational studies have shown a link between constipation (CN) and psychiatric disorders, including Schizophrenia (SP), Bipolar disorder (BD), Schizoaffective disorder (SD), and Parkinson's disease (PD). However, it is still unknown whether CN affects the occurrence and development of psychiatric disorders or whether psychiatric disorders cause the occurrence and development of CN. Therefore, this study used Mendelian randomization (MR) analysis to evaluate the relationship between CN and psychiatric disorders. METHOD: We used genome-wide association studies (GWAS) to assess the relationship between constipation (N = 411, 623) and four psychiatric disorders, including SP ( N = 77, 096), BD (N = 51, 710), SD ( N = 210, 962), PD (N = 482, 730 ), using bidirectional MR analysis. Inverse variance weighting (IVW), MR Egger (ME) and Weighted median (WM) were used as causal analysis methods. Cochran's Q test, funnel plot, MR Egger intercept test and Leave.one.out analysis were used to detect sensitivity. Confounding factors were analyzed and eliminated by LDtrait to avoid influencing the final MR Analysis result. RESULTS: The results of positive MR analysis indicated that there was no evidence of influence of constipation on SP (OR 1.043, 95%CI 0.946 - 1.149, P value = 0.398), BD (OR 1.114, 95%CI 0.995 - 1.248, P value = 0.062), SD (OR 0.934, 95%CI 0.674 - 1.294, P value = 0.682) and PD (OR 1.118, 95%CI 0.918 - 1.361, P value = 0.269) under gene prediction. Reverse MR analysis suggested that SP (OR 1.030, 95% CI 1.001-1.060, P value = 0.042) had a causal relationship with constipation. BD (OR 0.993, 95% CI 0.962-1.025, P value = 0.664), SD (OR 1.021, 95% CI 0.984-1.059, P value = 0.265) and PD (OR 1.004, 95% CI 0.974-1.035, P value = 0.790) were not associated with CN. CONCLUSION: There was a positive association between SP and CN. CN may have no exact causal relationship with BD, SD and PD, and the interaction mechanism between these diseases needs to be further explored.

Constipation↗
PubMed1997

Managing bowel elimination problems in patients with cancer.

PURPOSE/OBJECTIVES: To provide strategies for the assessment and management of bowel elimination disorders and to standardize approaches to prevent bowel disorders. DATA SOURCES: Articles, books, ongoing clinical research. DATA SYNTHESIS: The type and degree of bowel elimination problems vary with the type of tumor and treatment received. Prediction of potential bowel problems based on treatment given dictates a bowel management program to prevent problems and help patients deal with the outcome of the treatment. A standard care plan that includes assessment and intervention for various bowel elimination problems provides specific guidelines for nursing care. CONCLUSIONS: Bowel function in the patient with cancer inevitably will be affected while going through treatment or as the disease progresses. IMPLICATIONS FOR NURSING PRACTICE: Nursing care to relieve these problems can significantly affect the patient's quality of life. As patients are diagnosed with cancer and undergo cancer therapy, they can hope for bowel management through nursing guidance and patient education.

Constipation↗
PubMed1996

Recurrence after incisional hernia repair: results and risk factors.

A relatively low success rate in recurrent incisional hernia repair has prompted us to review the effects of certain risk factors on the long-term outcome of our cases. In this study, 109 recurrent incisional hernias were repaired and reviewed between 7 and 92 months after the operation. The recurrence rate was 45.0%. Many conditions that have been implicated as causal factors in the occurrence of incisional hernias were not found to be associated with recurrence after repair. However, chronic constipation was determined to be the most prominent risk factor associated with late recurrence.

Constipation↗